CPT 21196
Musculoskeletal
Current code36 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $9,378 – $30,628 | — | — |
| Deaconess Medical Center | $9,101 – $23,815 | — | — |
| Harborview Medical Center | $10,968 – $14,593 | — | — |
| Highline Medical Center | $11,691 – $26,996 | — | — |
| Island Hospital | $3,478 – $12,717 | — | — |
| Kadlec Regional Medical Center | $2,434 – $18,530 | — | — |
| Legacy Salmon Creek Medical Center | $13,193 – $19,127 | $913 – $2,607 | $1,404 – $4,011 |
| Mary Bridge Children's Hospital | $9,378 – $41,997 | — | — |
| MultiCare Auburn Medical Center | $9,378 – $28,417 | — | — |
| MultiCare Covington Medical Center | $9,378 – $28,417 | — | — |
| MultiCare Good Samaritan Hospital | $9,378 – $28,417 | — | — |
| MultiCare Valley Hospital | $8,849 – $23,762 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $7,297 – $18,080 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5,419 – $21,885 | — | — |
| Providence Centralia Hospital | $11,585 – $42,938 | — | — |
| Providence Holy Family Hospital | $2,985 – $24,185 | — | — |
| Providence Regional Medical Center Everett | $7,246 – $20,908 | — | — |
| Providence St Mary Medical Center | $5,189 – $26,359 | — | — |
| Providence St Peter Hospital | $3,484 – $26,598 | — | — |
| Seattle Children's Hospital | $2,289 – $6,202 | $7,752 – $142,487 | $5,963 – $7,752 |
| St Anthony Hospital | $12,740 – $29,502 | — | — |
| St Clare Hospital | $12,740 – $29,502 | — | — |
| St Elizabeth Hospital | $9,907 – $24,784 | — | — |
| St Francis Community Hospital | $12,510 – $29,502 | — | — |
| St Joseph Medical Center | $12,874 – $29,502 | — | — |
| St Michael Medical Center | $13,788 – $25,413 | — | — |
| Swedish Edmonds Hospital | $2,836 – $24,274 | — | — |
| Swedish Issaquah | $7,277 – $29,158 | — | — |
| Swedish Medical Center | $7,277 – $29,077 | — | — |
| Swedish Medical Center / Cherry Hill | $7,277 – $29,077 | — | — |
| Tacoma General Allenmore Hospital | $9,378 – $28,417 | — | — |
| University of Washington Medical Ctr | $10,968 – $24,505 | — | — |
| Virginia Mason Medical Center | $41.07 – $21,825 | — | — |
| Wellfound Behavioral Health Hospital | $17,434 | — | — |
| Yakima Valley Memorial | $11,078 – $19,564 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $1,430 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $1,309 in a hospital or surgery center
- Hospital outpatient payment (national)
- $6,048 (APC 5165)
- Surgery center payment (national)
- $3,026
How hospitals also write this code
Some price files write it differently. These are counted as CPT 21196:
- 21196P (with a letter after it, P; 2 price lines)
- 21196T (with a letter after it, T; 1 price line)